Active NPI
Martin Joseph Burnham
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1134615750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC8717
- Practice address
- 5408 Roland Ave
Baltimore, MD 21210-1900 - Phone
- (410) 864-3629
- NPI assigned
- Jul 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC8717 | MD | Primary |
Addresses
Primary practice location
5408 Roland Ave
Baltimore, MD 21210-1900
Mailing address
4210 N Charles St Apt 5
Baltimore, MD 21218-1041
Phone (443) 438-6775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC8717 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1134615750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 N CHARLES ST APT 5",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212181041",
"telephone_number": "443-438-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 ROLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101900",
"telephone_number": "410-864-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "MARTIN",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC8717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.